Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northeast Community Center for MH/MR

Organization Counselor · NPI 1073925400

Northeast Community Center for MH/MR provides Counselor services in Philadelphia, Pennsylvania. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

4641 Roosevelt Blvd Orleans Bldg
Philadelphia, PA 19124-2343 Not confirmed with CMS for 12 years — call before visiting
Phone: (215) 831-2826
Fax: (215) 831-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1073925400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Guscott — Mis Director · (215) 831-2826
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014
Mailing address4641 Roosevelt Blvd, Orleans Bldg, Philadelphia, PA 19124-2343

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